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A Practitioner's Guide to Prescribing Antiepileptics and Mood Stabilizers for Adults with Intellectual Disabilities

  • Book
  • © 2012

Overview

  • Examines a complex and neglected area of medicine – that is, treating adults with intellectual disabilities with anticonvulsants and mood stabilizers

  • Offers uniquely comprehensive and practical guidelines

  • Addresses both psychiatric (mood stabilizers) and neurological (anticonvulsants) drugs

  • Each chapter provides a guideline that can be downloaded independently Each guideline is summarized in a drug utilization review

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Table of contents (24 chapters)

Keywords

About this book

Emotional, behavioral, and neuropsychiatric conditions are common in individuals with intellectual disabilities (IDs), most notably epilepsy, aggression, self-injurious behaviors, and bipolar and other mood disorders. Despite the prevalence of such problems, there is a scarcity in the literature of reliable information on medical treatments for those with IDs.

A Practitioner's Guide to Prescribing Antiepileptics and Mood Stabilizers for Adults with Intellectual Disabilities provides a detailed framework for prescribing for this challenging population. Featuring the most up-to-date information on factors that inform prescribing, the Guide addresses basic issues and controversies (e.g., the rift between evidence-based and personalized medicine) in treating adults with cognitive deficits. Clients' specific needs are emphasized in developing appropriate and effective pharmacological intervention for improved outcomes and quality of life. Drugs discussed in the Guide include carbamazepine, clonazepam, diazepam, ethosuximide, felbamate, gabapentin, lacosamide, lamotrigine, levetiracetam, lithium, lorazepam, oxcarbazepine, phenobarbital, phenytoin, pregabalin, primidone, rufinamide,  tiagabine, topiramate, valproate, and zonisamide. For each of these compounds, the guidelines cover:

  • Indications for use; relative and absolute contraindications.
  • Assessment during treatment; therapeutic drug monitoring; warning signs and symptoms for caretakers.
  • Dosage: administration; initial and maximum recommended dosage; modifications associated with drug-drug interactions, personal characteristics, and (where appropriate) genetic variations.
  • Adverse drug reactions: common, relatively uncommon, and potentially lethal, plus risk of metabolic syndrome.
  • Guidelines for discontinuation.
  • References, tables, and drug utilization reviews.

A Practitioner's Guide to Prescribing Antiepileptics and Mood Stabilizers for Adults with Intellectual Disabilities is an indispensable decision-making reference for psychiatrists, neuropsychologists, psychopharmacologists, neurologists, internists, and clinical psychologists.

Reviews

From the reviews:

“A valuable contribution to the literature and helps fill several identified gaps. … The authors provide a well-balanced, extensive review of the literature, concisely yet thoroughly summarizing hundreds of articles into one user-friendly reference for the busy clinician. The authors present complex, detailed information in a well-organized, sophisticated yet easy-to-read style, enhancing the book’s clinical utility and applicability. … a valuable resource for a broad array of mental health and medical clinicians who treat epilepsy, mood disorders, and challenging behaviors in adult individuals with IDs.” (Rachel E. Myers, Journal of Child and Family Studies, Vol. 21, 2012)

Editors and Affiliations

  • College of Medicine, Department of Psychiatry, University of Kentucky, Lexington, USA

    Jose de Leon

Bibliographic Information

  • Book Title: A Practitioner's Guide to Prescribing Antiepileptics and Mood Stabilizers for Adults with Intellectual Disabilities

  • Editors: Jose de Leon

  • DOI: https://doi.org/10.1007/978-1-4614-2012-5

  • Publisher: Springer New York, NY

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Science+Business Media, LLC 2012

  • Softcover ISBN: 978-1-4614-2011-8Published: 02 March 2012

  • eBook ISBN: 978-1-4614-2012-5Published: 02 March 2012

  • Edition Number: 1

  • Number of Pages: XXXI, 507

  • Topics: Psychiatry, Neuropsychology, Psychopharmacology, Neurology, Internal Medicine, Clinical Psychology

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